Graduated: 2022
NPI: 1326771452
Practice Locations (3)
COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC
601 W LINCOLN AVE
CASEYVILLE, IL 622321306
6183453072
THEORIA MEDICAL
601 W LINCOLN AVE
CASEYVILLE, IL 622321306
2486601220
YAM MEDICAL CENTER LLC
12800 BOENKER LN
BRIDGETON, MO 630442438
3144996060
Source: CMS National Downloadable File, September 2026.